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General NPI Number Information
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NPI Number | 1831055854
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Entity Type | Organization
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Legal Business Name | KINGSLEY ROAD WELLNESS LLC
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Dates
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Enumeration Date | 01/03/2026
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Last Update Date | 01/03/2026
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Provider Practice Location Address
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Address Line | 971 US HIGHWAY 202 N STE N
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City | BRANCHBURG
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State | NJ
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Zip | 08876-3757
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Country | US
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Telephone | 732-498-0824
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Fax | 732-658-4852
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Provider Business Mailing Address
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Address Line | 971 US HIGHWAY 202 N STE N
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City | BRANCHBURG
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State | NJ
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Zip | 08876-3757
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Country | US
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Telephone | 732-498-0824
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NATHALIE DELIA
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Credential | APN
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Telephone | 609-533-6118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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